Learn from Mortality Review AND the Living: Next Generation Safety Learning System
Dr. Jeanne Huddleston and her colleagues at the Mayo Clinic have undertaken breakthrough work that can have enormous impact on the patient safety of healthcare institutions. She will share learnings on their journey to analyze the stories of all patient deaths. She will share the lessons learned through the development and evolution of the Mayo Clinic Mortality Review System.
Patient safety events are increasingly recognized as the 3rd leading cause of death including the typical adverse events we count and measure in patient safety. These existing measurement systems do not identify actionable opportunities for improvement nor provide obvious direction for next steps. The information Dr. Huddleston will share will help us understand areas of critical importance that will compliment what we do in prevention of adverse events. Following her presentation, a reactor panel will discuss the new information shared by Dr. Huddleston. We offer these online webinars at no cost to our participants.
Click here to download the combined speakers' slide set in PDF format one (1) slide per page.
Click here to download the combined speakers' slide set in PDF format four (4) slides per page.
To view the file, click the desired link (please note: the files may take several minutes to download). To save to your hard drive, right click on the link and choose "Save Target As." (In some browsers it might say "Save Link As.")
The slide set could take several minutes to download. The "four per page" slide set may download more efficiently.
Registration Information and CE Credit Information:
Registration is closed for the 'live' online version of this webinar. You can view the entire webinar by watching the video above.
When:July 21, 2016 Time: 1:00 p.m.-2:30 p.m. ET
We are accepting questions now that relate to the session topics. Please e-mail any questions related to the specific session to email@example.com with the session title in the e-mail message header.
Need technical assistance with registration? Call 512-457-7605 between 9:00 a.m. and 4:30 p.m. CT.
Awareness: Participants will understand and be able to communicate that multidisciplinary and multi specialty clinical involvement is critical for identification of opportunities for improvement and creating actionable information.
Accountability: Participants will understand who is accountable for responding to, and prioritizing, the opportunities for improvement identified during the Safety Learning System review process.
Ability: Participants will learn the principles of a Safety Learning System review and use of Chatham House Rules to reach consensus, across disciplines and departments, about the opportunities for improvement in any one patient care experience.
Action: Participants will learn which types of charts and reports carry the highest potential for securing meaningful leadership support and resources to mitigate future harm and make lasting change.
CE Participation Documentation
Texas Medical Institute of Technology, approved by the California Board of Registered Nursing, Provider Number 15996, will be issuing 1.5 contact hours for this webinar. TMIT is only providing nursing credit at this time.
To request a Participation Document, please click here.
Introduction and Moderator
Charles R. Denham, MD In the News and Recent Polling Responses
During Dr. Denham's business development career spanning 30 years, he and his organizations have served hundreds of innovation teams. While in practice as a radiation oncologist, he taught biomedical engineering and product development. He has taught innovation adoption, technology transfer, and commercialization in both academia and industry. He has been an adjunct Professor of Health Services Engineering at the...
Jeanne M. Huddleston, MD, FACP, FHM Learn from Mortality Review AND the Living: Next Generation Safety Learning System
Jeanne M. Huddleston, MD, FACP, FHM, is a past President of the Society of Hospital Medicine, the founder of Hospital Medicine and past Program Director of the Hospital Medicine Fellowship at Mayo Clinic, Rochester, MN. She is Chairperson of Mayo Clinic's Mortality Review Subcommittee, a multi-disciplinary group of providers that review every death in search of where the health care delivery system may have failed the providers and/or the patient.
Becky Martins Discussion and Reaction to Presentations AND The Voice of the Patient and Family
Becky Martins' advocacy spirit derives from the days when she was driving a family member 150 miles round-trip, three days a week, to dialysis treatments. She spent countless hours at the unit visiting with patients and their families. It was through their stories that she learned of the many challenges faced by patients living with chronic illness. It was by their example that she learned of the resilience of the human spirit to face health and health-related challenges head-on.
Martin JH, Taylor B, et al. A 100% Departmental Mortality Review Improves Observed-to-Expected Mortality Ratios and University HealthSystem Consortium Rankings. Safety Science. 2013 Dec 25. Available: http://www.ncbi.nlm.nih.gov/pubmed/24529804.
Barbieri, JS. Fuchs BD. The Mortality Review Committee: A Novel and Scalable Approach to Reducing Patient Mortality. The Joint Commission Journal on Quality and Patient Safety. 2013 Sep 1. Available at: http://www.ncbi.nlm.nih.gov/pubmed/24147350.
[No authors listed.] National Action Plan for Adverse Drug Event Prevention. Office of Disease Prevention and Health Promotion. Office of the Assistant Secretary for Health, Office of the Secretary. Washington, DC. 2014 Aug. Available at http://www.health.gov/hai/pdfs/ADE-Action-Plan-508c.pdf. Last accessed January 21, 2015..